What is Back pain?
Back pain or lower back pain can happen for several problems with any part of the interconnected network of spinal nerves, muscles, bones, tendons or discs in the lumber spine.
Some of the typical causes for back pain are:
Although it can happen at any age, back pain, especially lower back pain occurs in people who are in their 40s. Back pain is typically characterized by a localized pattern of discomfort in the lower back area that mostly occurs after an event that culminated in stressing the lumber tissues.
The severity of this condition, depends on a number of issues, which comprises of the degree of the strain and also the resulting spasm of the lower back muscles that occurred owing to the trauma.
Diagnosis and Treatment
Diagnosis of back pain is generally done by the doctors based on the location of the pain and history of the injury. X-ray is usually performed on the patients suffering from this ailment which helps in excluding osteological abnormalities.The most popular treatment for all kinds of back pains or lumber strains consists of resting the back to avoid subsequent injury. Apart from that reconditioning exercises are also prescribed to the patients to strengthen the back muscles along with medications to relieve pain and muscular spasms. Local heat applications are also advised to the back pain patients along with massage which is often done by certified physiotherapists.
What happens when you don't get treated on time :
In rare cases back pain can also be a sign of CES (Cauda Equina Syndrome), which is a condition that requires immediate surgical treatment.
In patients suffering from CES, something compresses their spinal nerve roots, which cause severe pain. As the cauda equine are a bundle of nerve roots which is located in the lumbosacral spine and sends messages to the brain from the feet, legs and pelvic organs, inability to provide a fast treatment, often leads to lasting damage which can lead to incontinency and also permanent paralysis of the legs.
MRI (Magnetic Resonance Imaging) scan is also prescribed at time along with a Myelogram (X-ray of the spinal cord after injecting contrast material into the spine), which aids in pinpointing the pressure point on the spinal nerves or on the spinal cord.
Splenectomy is an operation conducted to remove the spleen. The spleen plays a vital role in building immunity against bacterial infections, located in the uppermost area of the left hand side of the abdomen, just below the diaphragm. There are some specific requirements with regard to the immunizations as well as blood work that might need to be completed before this surgery takes place.
Why is Splenectomy need to be performed?
There are a number of chronic illnesses like Hereditary Spherocytosis or Idiopathic Thrombocytopenic Purpura, which make it a necessity to get a child’s spleen removed. Though it is a rare case but still any kind of trauma to the spleen along with uncontrolled bleeding can create a very serious situation, wherein an emergency might arise to get the spleen removed immediately.
Immunization of child before the operation
Before the surgery of Splenectomy is conducted, immunizations are given to children as a preventive against some specific kinds of infections that are most common for patients to arise after having undergone the surgery of Splenectomy.
How is the surgery performed?
The paediatric surgeon, who performs the surgery, need not require making a large incision for going about the process of operation. In most of the instances, a splenectomy is performed in the following manner, which includes:
Essentials after the Surgery
After the surgery has taken place and the child returns home after a couple of days, there are certain essentials that require to be kept in mind:
In case you have a concern or query you can always consult an expert & get answers to your questions!
If you are suffering from a constant back or neck pain that never seems to go away and disrupts your routine considerably, then you can consider chiropractic treatment option. Chiropractic care is a natural treatment of musculoskeletal disorders without any drugs or surgery. Chiropractors specialize in reshaping the spine, which changed from its original shape due to many reasons causing pain and inflammation. It is widely accepted a form of treatment in all developed countries like the USA, UK, etc. and gaining popularity in India especially in cases of back pain.
How do they treat?
After carefully listening to the patient, Chiropractors initiates the treatment on the specially designed table. Their palm and finger play a vital role in chiropractic treatment. They apply a light thrust on the affected area on the spine and gradually glide down until the end of the spine in the sacral region. This process actually helps to realign the spine by straightening it.
Chiropractors may massage on the soft tissue as well to ease out the pain. A chiropractor glides the pressure through the muscles of their patients, which gives a tremendous value-added benefit with a little time or effort on the chiropractor's part. The massaging action relaxes strained muscle surrounding the spine, which enhances patient satisfaction.
What is the duration?
Treatments generally take weeks for a permanent solution to the back pain. Initially the skilled professional may suggest you to for 2-3 visits within a week. Depending on the response, it may come down to once a week. Each session varies between 20 - 30 minutes under the expert's fingers. They keep on tracking the improvement level by comparing to the first visit. They are effective in Subacute back pain, Chronic Back Pain, and Neck Pain.
Chances of further aggravation in chiropractic treatment are low if performed by a trained practitioner. Further, if you have been under a chiropractor for long and your back pain isn’t improving its time to visit your family physician to find out if any other treatment option should be pursued, but in most cases, this procedure can provide relief on a long-term basis. In case you have a concern or query you can always consult an expert & get answers to your questions!
It is very challenging to find operative treatments for chronic pain that offer improved daily functioning. Spinal Cord Stimulation is an excellent pain management method that can be used for patients when their neck or back pain cannot be treated by surgery or other options.
Each year more than 14,000 patients undergo the spinal cord stimulator transplant. The procedure comprises of mild electrical stimulations to the spinal cord. This modifies the nerve activity reducing the pain sensation or sensitivity that reaches the brain.
Neurostimulation therapy recommended by doctors is very effective, especially for chronic pain sufferers. The benefit of this proven therapy is that the pain experienced by the brain is minimized to a great extent. The therapy was designed only after observing how pain is managed by the brain. The therapy approved by the FDA is used to treat the pain caused due to nerve damage in the legs, arms and in the trunk. Spinal cord stimulation for chronic back and neck pain is provided to patients in pain management centers. The staff taking care of patients in these centers are specialized and trained in pain relief -how it occurs and best ways to treat it. Injections are also used to ease the pain.
How to treat back Pain?
Probably the worst pain an individual can experience is back pain, in some cases so severe that it hampers daily life. The treatment options that are used for treating back pain include electrical stimulation to the back and medication to the spine. The most common reason for spinal cord stimulation is failed back surgery. The pain related to the following conditions can also be alleviated through this therapy, scarring of the protective layers of the spinal nerves, painful inflammation and arachnoiditis.
Devices Used for Spinal Cord Stimulation
The devices used for spinal cord stimulation are available in several types but they comprise mainly of three parts. The pulse generator with a battery, a lead wire with 8-32 electrodes and a hand-held remote control that is useful in adjusting the settings of the device, and to switch it on and off. Electrical pulses are delivered to the spinal cord through the electrodes. It is very important that the procedure is carried out by doctors who specialize in pain management or by neurosurgeons. In case you have a concern or query you can always consult an expert & get answers to your questions!
Pain management is an issue that stares back at mankind, irrespective of the underlying health condition. Whether it is a headache or a back pain, burn or fracture, heart attack or cancer, pain is always a symptom. In some cases like migraines, cancer, etc., the pain is chronic and the patient needs to be constantly on the vigil to know when an attack will ensue. This has also put high pressure on the medical fraternity to identify ways that can provide relief to these people. Various methods have been identified, and one of them is the electrotherapy.
What is done?
A few electrical impulses are directed at the area of the pain using a hand-held device. This is similar to providing electric shocks of mild intensity to the affected area (forehead, low back, neck, etc.). What this does is stimulate the nerve endings, improves circulation and muscle strength and promotes bone growth and tissue repair. The end result of all this is overall improved functioning and pain relief. Depending on the actual condition, the sessions will have to be repeated. In some patients, the electrotherapy is used in conjunction with other therapy so that they can go about their routine exercise and pain relief.
The sessions may also have to be repeated as most often these are used in individuals with chronic pain. They are also helpful in providing relief during the acute attacks.
How does it work?
The most common form of electrotherapy is known as TENS, which stands for transcutaneous electrical nerve stimulation. The area to be treated is cleansed with spirit and then small sticky pads are applied through which the electricity is passed. A hand-held device is used, through which electrical impulses are passed to the skin, which stimulates the nerve cells to provide relief from pain. It causes a vibrating and tingling sensation in the treated area. It is believed that it blocks the nerve impulses and therefore provides pain relief. Another theory states that they promote the release of endorphins which are natural painkillers; it is also very effective in case of migraine and sciatica and neck pain where the chronic pain is coupled with acute spurts.
With narcotic painkillers having various side effects, techniques like electrotherapy are gaining popularity. A small catch also is that it does not work for everybody and in most people with back pain, fibromyalgia, and migraines, requires repeat sessions for relief. The cost of each session also needs to be considered against the extent of relief achieved. However, for those whom it works, it is a very good technique for chronic pain control. In case you have a concern or query you can always consult an expert & get answers to your questions!
One month, the injury is still healing, two months, just a little bit longer, three months? Well, you, believe it or not, it has probably become a chronic pain and is affecting every aspect of your life. Chronic pain may be a novel notion to accept but is now understood to be a disease and generally defined as pain persisting for longer than 12 weeks. Pain management in such cases is traditionally treated through prescription drugs, the other option being amputation.104968
This is a major cause of patients having qualms about these pills and a need for an alternative. In response to this, doctors have a new tool to help decrease the perception of pain which is a small implant placed in the back to help patients shake off the pain. This small device that could bring you back to your feet is the spinal cord stimulator.
What is spinal cord stimulation?
Theoretically, the spinal cord stimulation is a type of neurostimulation which produces an effect that interferes with the brain’s ability to interpret the signal as pain by using electrical pulses. The brain, instead, experiences it as a pleasant numbing sensation. The implant is placed which takes place in two parts i.e. placing the lead device in the spine and placing the pulse generator in abdomen or buttock.
For test stimulation, the several stimulation settings are tried so that the pulse generator can be programmed using these settings. The procedure typically takes 1-2 hours and post-procedure, patients are given a handy device to control the simulations which they are to use in their day-to-day lives.
It has been observed to reduce the pain by at least 50%. However, this too has its limitations. Typical candidates are people with chronic back and limb pain who may have a failed back or disc procedure. The most common risks associated are device-related, example, unintended movement of the leads. Serious effects include hemorrhage in the epidural space or injury to a spinal cord leading to neural damage, but these are highly uncommon.
Quick facts about it
As it is said, lasting pain can lead to damage, hence don’t wait until the damage repair has a complete null chance, rather reach out to your doctor to understand more about the concept of SCS so that you can get treated in no time. Explore the option with your "Interventional Pain Specialist". In case you have a concern or query you can always consult an expert & get answers to your questions!
What is Back pain?
Diagnosis and Treatment
What happens when you don't get treated on time :